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Video‐assisted thoracoscopic surgery after renal transplantation: A single‐institution experience
Author(s) -
Maeda Hideyuki,
Kanzaki Masato,
Sakamoto Kei,
Kikkawa Takuma,
Isaka Tamami,
Oyama Kunihiro,
Murasugi Masahide,
Fuchinoue Shohei,
Tanabe Kazunari,
Onuki Takamasa
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12248
Subject(s) - medicine , surgery , transplantation , hemodialysis , perioperative , renal function , video assisted thoracoscopic surgery , kidney transplantation , dialysis , univariate analysis , wedge resection , kidney disease , resection , multivariate analysis
Abstract Introduction The number of renal transplantations performed for patients with chronic kidney disease has increased in J apan, but little is known about the outcomes in those who subsequently undergo video‐assisted thoracoscopic surgery ( VATS ). We therefore investigated the outcomes of consecutive patients requiring VATS after renal transplantation at our institute. Methods We retrospectively collected the clinical data for patients undergoing VATS after renal transplantation between J anuary 2003 and S eptember 2014. Specifically, we compared the serum creatinine level and estimated glomerular filtration rate preoperatively and postoperatively, and investigated the postoperative complications. Results In total, 12 patients underwent VATS after renal transplantation during the study period. All patients received two or three immunosuppressive agents. Operative methods used included VATS wedge resection ( n = 4), segmentectomy ( n = 4), lobectomy ( n = 2), mediastinal tumor resection ( n = 1), and chest wall tumor resection ( n = 1). No patients required perioperative hemodialysis. There were no intraoperative complications, but one patient developed postoperative hemorrhagic cystitis and another developed pneumonia. One patient developed pneumocystis pneumonia 2 months after left lower lobectomy and required hemodialysis. No further hemodialysis was required by any patient. Of note, no statistically significant differences were observed between the preoperative and postoperative serum creatinine level ( P = 0.666) and estimated glomerular filtration rate ( P = 0.388). There were no in‐hospital deaths. Univariate analysis revealed no significant risk factors for postoperative complications. Conclusion This report showed favorable results for VATS after renal transplantation. However, clinicians must remain vigilant for complications because transplant recipients remain permanently immunocompromised.